No office rate
Both are intracapsular lens-removal services. Choose 66930 when the documented procedure uses the aspiration technique specified for that code.
On this page
CMS RVU26D · Effective 2026-10-01
66920 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$655.06
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Ophthalmology surgery
About 66920: Intracapsular lens extraction
Reports surgical removal of the crystalline lens with its capsule when an intracapsular extraction is performed without the one-stage implant service.
An ophthalmologist removes the crystalline lens together with its capsule using an intracapsular technique. This is a cataract operation, generally performed in an operating room or other surgical facility. The operative report should identify the extraction method and establish that the capsule was removed with the lens, rather than left in place as in an extracapsular approach. Code 66920 represents the extraction service, not the one-stage intracapsular extraction with lens implant described by code 66983.
Choose the code from the procedure actually performed, not simply the diagnosis of cataract. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery reported with modifier 50, payment is at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 66920
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.88 · 52%
- Practice expense (office) RVU8.34 · 44%
- Malpractice RVU0.79 · 4%
80
Medicare services in 2024 · #5056 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
66920 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
66940 is for an extracapsular approach, which leaves the capsule rather than removing it with the lens. Use 66920 when the operative report documents intracapsular removal.
66983
No office rateCataract surg w/iol 1 stage
66983 includes one-stage intracapsular cataract extraction with intraocular lens insertion. 66920 describes the intracapsular extraction service without that combined implant service.
No office rate
66984 combines an extracapsular cataract removal with intraocular lens insertion. It differs from 66920 in both the extraction approach and the included implant service.
The same code, a different location
How does Merced compare?
66920 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 66920
Office
Unavailable
Facility
$655.06
No comparable office rate is available.
Modesto
California · 66920
Office
Unavailable
Facility
$655.06
No comparable office rate is available.
Napa
California · 66920
Office
Unavailable
Facility
$731.34
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 66920
Office
Unavailable
Facility
$684.94
No comparable office rate is available.
Redding
California · 66920
Office
Unavailable
Facility
$655.06
No comparable office rate is available.
Rest Of California
California · 66920
Office
Unavailable
Facility
$655.06
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 66920
Office
Unavailable
Facility
$663.75
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 66920
Office
Unavailable
Facility
$679.99
No comparable office rate is available.
Salinas
California · 66920
Office
Unavailable
Facility
$677.23
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 66920
Office
Unavailable
Facility
$687.36
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 66920
Office
Unavailable
Facility
$766.24
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 66920
Office
Unavailable
Facility
$765.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 66920
Office
Unavailable
Facility
$782.13
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 66920
Office
Unavailable
Facility
$778.47
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 66920
Office
Unavailable
Facility
$667.04
No comparable office rate is available.
Santa Cruz-Watsonville
California · 66920
Office
Unavailable
Facility
$689.53
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 66920
Office
Unavailable
Facility
$678.19
No comparable office rate is available.
Santa Rosa-Petaluma
California · 66920
Office
Unavailable
Facility
$696.12
No comparable office rate is available.
Stockton
California · 66920
Office
Unavailable
Facility
$655.06
No comparable office rate is available.
Vallejo
California · 66920
Office
Unavailable
Facility
$730.05
No comparable office rate is available.
Visalia
California · 66920
Office
Unavailable
Facility
$655.06
No comparable office rate is available.
Yuba City
California · 66920
Office
Unavailable
Facility
$655.06
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 66920
Office
Unavailable
Facility
$705.34
No comparable office rate is available.
Miami
Florida · 66920
Office
Unavailable
Facility
$686.72
No comparable office rate is available.
Chicago
Illinois · 66920
Office
Unavailable
Facility
$672.82
No comparable office rate is available.
Manhattan
New York · 66920
Office
Unavailable
Facility
$716.66
No comparable office rate is available.
Alaska*
Alaska · 66920
Office
Unavailable
Facility
$806.21
No comparable office rate is available.
Alabama
Alabama · 66920
Office
Unavailable
Facility
$588.68
No comparable office rate is available.
Arkansas
Arkansas · 66920
Office
Unavailable
Facility
$582.88
No comparable office rate is available.
Arizona
Arizona · 66920
Office
Unavailable
Facility
$622.52
No comparable office rate is available.
Colorado
Colorado · 66920
Office
Unavailable
Facility
$650.96
No comparable office rate is available.
Connecticut
Connecticut · 66920
Office
Unavailable
Facility
$668.54
No comparable office rate is available.
Delaware
Delaware · 66920
Office
Unavailable
Facility
$630.59
No comparable office rate is available.
Fort Lauderdale
Florida · 66920
Office
Unavailable
Facility
$659.89
No comparable office rate is available.
Rest Of Florida
Florida · 66920
Office
Unavailable
Facility
$635.97
No comparable office rate is available.
Atlanta
Georgia · 66920
Office
Unavailable
Facility
$645.70
No comparable office rate is available.
Rest Of Georgia
Georgia · 66920
Office
Unavailable
Facility
$609.93
No comparable office rate is available.
Hawaii, Guam
Hawaii · 66920
Office
Unavailable
Facility
$662.01
No comparable office rate is available.
Iowa
Iowa · 66920
Office
Unavailable
Facility
$595.36
No comparable office rate is available.
Idaho
Idaho · 66920
Office
Unavailable
Facility
$598.76
No comparable office rate is available.
East St. Louis
Illinois · 66920
Office
Unavailable
Facility
$639.42
No comparable office rate is available.
Rest Of Illinois
Illinois · 66920
Office
Unavailable
Facility
$625.57
No comparable office rate is available.
Suburban Chicago
Illinois · 66920
Office
Unavailable
Facility
$665.15
No comparable office rate is available.
Indiana
Indiana · 66920
Office
Unavailable
Facility
$601.05
No comparable office rate is available.
Kansas
Kansas · 66920
Office
Unavailable
Facility
$595.12
No comparable office rate is available.
Kentucky
Kentucky · 66920
Office
Unavailable
Facility
$601.79
No comparable office rate is available.
New Orleans
Louisiana · 66920
Office
Unavailable
Facility
$622.10
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 66920
Office
Unavailable
Facility
$601.81
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 66920
Office
Unavailable
Facility
$699.62
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 66920
Office
Unavailable
Facility
$649.64
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 66920
Office
Unavailable
Facility
$666.82
No comparable office rate is available.
Rest Of Maryland
Maryland · 66920
Office
Unavailable
Facility
$639.43
No comparable office rate is available.
Rest Of Maine
Maine · 66920
Office
Unavailable
Facility
$602.69
No comparable office rate is available.
Southern Maine
Maine · 66920
Office
Unavailable
Facility
$622.71
No comparable office rate is available.
Detroit
Michigan · 66920
Office
Unavailable
Facility
$643.30
No comparable office rate is available.
Rest Of Michigan
Michigan · 66920
Office
Unavailable
Facility
$614.12
No comparable office rate is available.
Minnesota
Minnesota · 66920
Office
Unavailable
Facility
$624.45
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 66920
Office
Unavailable
Facility
$617.35
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 66920
Office
Unavailable
Facility
$621.63
No comparable office rate is available.
Rest Of Missouri
Missouri · 66920
Office
Unavailable
Facility
$595.82
No comparable office rate is available.
Mississippi
Mississippi · 66920
Office
Unavailable
Facility
$589.34
No comparable office rate is available.
Montana**
Montana · 66920
Office
Unavailable
Facility
$634.90
No comparable office rate is available.
North Carolina
North Carolina · 66920
Office
Unavailable
Facility
$606.76
No comparable office rate is available.
North Dakota**
North Dakota · 66920
Office
Unavailable
Facility
$619.28
No comparable office rate is available.
Nebraska
Nebraska · 66920
Office
Unavailable
Facility
$597.09
No comparable office rate is available.
New Hampshire
New Hampshire · 66920
Office
Unavailable
Facility
$643.07
No comparable office rate is available.
Northern Nj
New Jersey · 66920
Office
Unavailable
Facility
$702.11
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 66920
Office
Unavailable
Facility
$676.34
No comparable office rate is available.
New Mexico
New Mexico · 66920
Office
Unavailable
Facility
$617.13
No comparable office rate is available.
Nevada**
Nevada · 66920
Office
Unavailable
Facility
$630.82
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 66920
Office
Unavailable
Facility
$731.33
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 66920
Office
Unavailable
Facility
$681.81
No comparable office rate is available.
Queens
New York · 66920
Office
Unavailable
Facility
$718.43
No comparable office rate is available.
Rest Of New York
New York · 66920
Office
Unavailable
Facility
$613.19
No comparable office rate is available.
Ohio
Ohio · 66920
Office
Unavailable
Facility
$610.93
No comparable office rate is available.
Oklahoma
Oklahoma · 66920
Office
Unavailable
Facility
$599.26
No comparable office rate is available.
Portland
Oregon · 66920
Office
Unavailable
Facility
$664.40
No comparable office rate is available.
Rest Of Oregon
Oregon · 66920
Office
Unavailable
Facility
$626.00
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 66920
Office
Unavailable
Facility
$657.40
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 66920
Office
Unavailable
Facility
$610.66
No comparable office rate is available.
Puerto Rico
Puerto Rico · 66920
Office
Unavailable
Facility
$637.62
No comparable office rate is available.
Rhode Island
Rhode Island · 66920
Office
Unavailable
Facility
$647.56
No comparable office rate is available.
South Carolina
South Carolina · 66920
Office
Unavailable
Facility
$609.82
No comparable office rate is available.
South Dakota**
South Dakota · 66920
Office
Unavailable
Facility
$617.43
No comparable office rate is available.
Tennessee
Tennessee · 66920
Office
Unavailable
Facility
$597.38
No comparable office rate is available.
Austin
Texas · 66920
Office
Unavailable
Facility
$648.76
No comparable office rate is available.
Beaumont
Texas · 66920
Office
Unavailable
Facility
$608.01
No comparable office rate is available.
Brazoria
Texas · 66920
Office
Unavailable
Facility
$629.28
No comparable office rate is available.
Dallas
Texas · 66920
Office
Unavailable
Facility
$633.06
No comparable office rate is available.
Fort Worth
Texas · 66920
Office
Unavailable
Facility
$630.62
No comparable office rate is available.
Galveston
Texas · 66920
Office
Unavailable
Facility
$631.10
No comparable office rate is available.
Houston
Texas · 66920
Office
Unavailable
Facility
$645.56
No comparable office rate is available.
Rest Of Texas
Texas · 66920
Office
Unavailable
Facility
$618.18
No comparable office rate is available.
Utah
Utah · 66920
Office
Unavailable
Facility
$615.55
No comparable office rate is available.
Virginia
Virginia · 66920
Office
Unavailable
Facility
$622.46
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 66920
Office
Unavailable
Facility
$637.62
No comparable office rate is available.
Vermont
Vermont · 66920
Office
Unavailable
Facility
$619.13
No comparable office rate is available.
Rest Of Washington
Washington · 66920
Office
Unavailable
Facility
$647.70
No comparable office rate is available.
Seattle (King Cnty)
Washington · 66920
Office
Unavailable
Facility
$709.86
No comparable office rate is available.
Wisconsin
Wisconsin · 66920
Office
Unavailable
Facility
$604.99
No comparable office rate is available.
West Virginia
West Virginia · 66920
Office
Unavailable
Facility
$609.83
No comparable office rate is available.
Wyoming**
Wyoming · 66920
Office
Unavailable
Facility
$628.09
No comparable office rate is available.
See how rates vary across the country
66920 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 66920 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$720.57
$655.06 × 110% = $720.57
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 66920 in Merced.
PPRRVU2026_Oct_nonQPP.csv
7,402
- Code
- 66920
- Physician work
- 9.88
- Practice expense
- 8.34
- Malpractice
- 0.79
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.88 | × 1.017 | 10.0480 |
| Practice expense | 8.34 | × 1.096 | 9.1406 |
| Malpractice | 0.79 | × 0.536 | 0.4234 |
| Total RVUs | 19.6120 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$655.06
Open 66920 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.88 | 1.017 |
| Practice expense | 8.34 | 1.096 |
| Malpractice | 0.79 | 0.536 |
(9.88 × 1.017 + 8.34 × 1.096 + 0.79 × 0.536) × $33.4009 = $655.06
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
66920 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $655.06 | RVU26D |
| 2026-07-01 | Not available in this setting | $655.06 | RVU26C |
| 2026-04-01 | Not available in this setting | $655.06 | RVU26B |
| 2026-01-01 | Not available in this setting | $655.06 | RVU26A |
| 2025-10-01 | Not available in this setting | $745.55 | RVU25D |
| 2025-07-01 | Not available in this setting | $745.55 | RVU25C |
| 2025-04-01 | Not available in this setting | $745.55 | RVU25B |
| 2025-01-01 | Not available in this setting | $745.55 | RVU25A |
66920 billing questions
How does 66920 differ from 66940?
66920 describes an intracapsular approach, in which the lens and capsule are removed together. Use 66940 for an extracapsular extraction, where the capsule is not removed with the lens.
When is 66983 more appropriate?
66983 describes a one-stage intracapsular cataract extraction with insertion of an intraocular lens. When that implant is placed as part of the operation, report the code that includes the combined service rather than 66920 alone.
What documentation supports 66920?
The operative report should identify the intracapsular technique and document removal of the lens with its capsule. A cataract diagnosis by itself does not establish which extraction method was performed.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care. These services are part of the surgical global period.
How is bilateral surgery reported and paid?
For bilateral surgery reported with modifier 50, CMS payment is at 150%. The CMS multiple-procedure reduction also applies when multiple procedures are performed in the same session.
When can an assistant or co-surgeon be paid?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,39966840,,Removal of lens material,A,,8.95,8.02,NA,8.02,,0.71,17.68,17.68,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40066850,,Removal of lens material,A,,10.29,8.95,NA,8.95,,0.82,20.06,20.06,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40166852,,Removal of lens material,A,,11.12,9.25,NA,9.25,,0.89,21.26,21.26,0,090,0.10,0.70,0.20,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40266920,,Extraction of lens,A,,9.88,8.34,NA,8.34,,0.79,19.01,19.01,0,090,0.10,0.70,0.20,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40366930,,Extraction of lens,A,,11.32,9.51,NA,9.51,,0.91,21.74,21.74,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40466940,,Extraction of lens,A,,10.11,9.08,NA,9.08,,0.81,20.00,20.00,0,090,0.10,0.70,0.20,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40566982,,Xcapsl ctrc rmvl cplx wo ecp,A,,9.99,8.10,NA,8.10,,0.79,18.88,18.88,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623